Individual
DANIEL A AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 INDIAN HEAD RD, COMMACK, NY 11725-2212
(631) 543-6200
Mailing address
90 CHERRY LANE, HICKSVILLE, NY 11801
(516) 733-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35522
NY
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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